1.A Case of Krukenberg Tumor associated with Ovarian Dermoid Cyst.
In Dong YEO ; Chang Soo PARK ; Soon In JEONG ; Suk Mo KIM
Korean Journal of Gynecologic Oncology and Colposcopy 1997;8(3):315-319
Krukenberg tumor, which can account for 30-40% of metastatic cancers to the ovaries, arises in the ovarian stroma and is usually metastatic from the gastrointestinal tract, especially from the stomach. The pathognomonic feature is the presence of signet ring cells, which may be arranged in acini or appear as individual cells. We experienced a Krukenberg tumor which was bilateral and associated with left ovarian dermoid cyst. This patient was treated for a primary gastric carcinoma(Stage II) about 3 years ago. After bilateral salpingoophorectomy, she received adjuvant chemotherapy. But, she died about fow months after operation.
Chemotherapy, Adjuvant
;
Dermoid Cyst*
;
Female
;
Gastrointestinal Tract
;
Humans
;
Krukenberg Tumor*
;
Ovary
;
Stomach
2.A Clinical Study of the Fracture of the Distal Femur
Chil Soo KWON ; Jeong Gook SEO ; Suk KANG
The Journal of the Korean Orthopaedic Association 1990;25(5):1341-1350
The fractures of the distal femur are difficult to treat due to its severity of injuries and various complications. Recently, the complications including nonunion, delayed union and joint stiffness have decreased with development of new fixation device, technics and encouraging the early joint motion. We studied 50 cases of fractures treated at our hospital from January, 1980 to July, 1988 and the results obtained from this study were as follows:1. The age distribution was between 11 and 77 year-old, and the 3rd. 4th. decades were 64 % of total patients. 2. The most common cause of injuries was traffic accident(62%), and the open fractures were more common than the fractures of other reports(48%). 3. The types of fracture were unicondylar(21 cases), simple supracondylar(8), and intercondylar (21), according to Chiron's classification, and the intercondylar fractures were subdivided into type I (2 cases), type II A(6), type II B(10) and type III (3) by Neer's. 4. Among the 50 cases, the conservative treatments were done in 19 cases and the surgical one in 31 cases. The conservative treatments were done for undisplaced or minimal displsced fractures and the cases whose general conditions were so poor that operation were impossible. 5. In surgical treatments, the open reduction and the internal fixation(25 cases), the externsl fixation(4), the knee fusion(1) and the A-K amputation(1) were done. 6. The postoperative complications were joint stiffness(11 cases), malunion(3), delayed union(3) and infection(3). 7. The satisfactory results could be obtained by the open reduction and rigid internal fixation followed by early continous passive motion exercise of knee joint.
Age Distribution
;
Classification
;
Clinical Study
;
Femur
;
Fractures, Open
;
Humans
;
Joints
;
Knee
;
Knee Joint
;
Postoperative Complications
3.Intrauterine Intussusception Presenting as Transient Fetal Ascites.
Jeong In YANG ; Haeng Soo KIM ; Seong Cheon YANG ; Hee Suk RYU ; Kie Suk OH
Korean Journal of Perinatology 2001;12(3):362-366
No abstract available.
Ascites*
;
Intussusception*
4.Unilateral Congenital Diaphragmatic Eventration Mimicking Congenital Diaphragmatic Hernia.
Jeong In YANG ; Kie Suk OH ; Haeng Soo KIM ; June Seo LEE ; Jeong HONG
Korean Journal of Obstetrics and Gynecology 1999;42(1):171-174
Congenital diaphragmatic eventration is an abnormal elevation of the diaphragm as a result of developmental failure of muscular fibers during the fetal period. Mediastinal shift to the contralateral side may cause significant compression of the affected chest contents resulting in compromised pulmonary function especially when bilaterally involved. The differentiation between congenital diaphragmatic eventration and diaphragmatic hemia is very difficult but eventration has a better perinatal outcome compared to diaphragmatic hernia. We report a case of congenital diaphragmatic eventration on left side with good perinatal outcome after plication in which the initial prenatal diagnosis of diaphragmatic hernia was made by prenatal ultrasonography.
Diaphragm
;
Diaphragmatic Eventration*
;
Hernia, Diaphragmatic*
;
Prenatal Diagnosis
;
Thorax
;
Ultrasonography
;
Ultrasonography, Prenatal
5.Clinical Diversities and Perinatal Outcomes of Nonimmune Hydrops Fetalis.
Suk Joon CHANG ; Haeng Soo KIM ; Jeong In YANG ; Eun Joo AHN ; Young Don LEE ; Kie Suk OH
Korean Journal of Obstetrics and Gynecology 1998;41(7):1927-1933
BACKGROUND: Nonimmune hydrops fetalis has become an important perinatal problem since it was first described in 1943. Although recent advances in antenatal ultrasound have made it possible to detect and manage nonimmune hydrops fetalis in early pregnancy, the perinatal mortality is still high. OBJECTIVE: To obtain clinically useful data regarding antenatal diagnosis, management, and perinatal outcomes of nonimmune hydrops fetalis, and to assist clinicians offer proper antepartum counseling and obstetric management which may be able to improve prognosis. Study design: We retrospectively reviewed 33 cases of nonimmune hydrops fetalis delivered in our hospital over a 4-year period. RESULTS: The antenatal diagnosis was possible by ultrasonography in all cases. Accumulation of fluid in fetal serous cavity and generalized skin edema were observed in all cases. A probable etiology was found in 23 (69.7%) cases through ultrasonography, various laboratory studies including fetal karyotyping, and autopsies. These were cardiovascular (4), respiratory (6), chromosomal (4), skeletal (1), and others (8). Despite extensive diagnostic studies, no definite etiology was found in 10 (30.3%) cases. Excluding the ten fetuses delivered after induced abortion, eight infants were born alive and six died in the neonatal period. The mortality rate was 91.3% (21/23). CONCLUSION: Nonimmune hydrops fetalis represents a very poor perinatal outcome. It is suggested that to improve the prognosis, various antenatal and postnatal approaches to find associated etiologic factors should be performed, and intensive perinatal cares are needed.
Abortion, Induced
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Autopsy
;
Counseling
;
Edema
;
Female
;
Fetus
;
Humans
;
Hydrops Fetalis*
;
Infant
;
Karyotyping
;
Mortality
;
Perinatal Mortality
;
Pregnancy
;
Prenatal Diagnosis
;
Prognosis
;
Retrospective Studies
;
Skin
;
Ultrasonography
6.Two Case of Twin Pregnancy with a Single Anomalous Fetus.
Jeong In YANG ; Kie Suk OH ; Haeng Soo KIM ; Eun Joo AHN ; Hyun Hee PARK
Korean Journal of Obstetrics and Gynecology 1999;42(2):420-425
Twin pregnancy is at increased risk for congenital anomalies. Although twins were relatively infrequent, they accaunted for a disproportionately large portion of adverse pregnancy outcome, primarily as a consequence of preterm delivery, gestational diabetes, and pregnancy induced hypertension. In case of twin pregnancy with a single anomalous fetus, the clinicians are faced with difficult decision-making processes regarding the route of delivery, when to deliver, how aggressively to attempt to prevent delivery. Twin pregnancy discordant for a fetal abnormality can be managed expectantly or by selective fetocide of abnormal twin. Recently we experienced two cases of twin pregnancy with a single anornalous fetus. We reported cases with concerned literatures.
Diabetes, Gestational
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Female
;
Fetus*
;
Humans
;
Hypertension, Pregnancy-Induced
;
Pregnancy
;
Pregnancy Outcome
;
Pregnancy, Twin*
7.Differentiation of proteinuria using phast system(R) in patients with hemorrhagic fever with renal syndrome.
Jeong Soo SONG ; Choong Hyun KIM ; Eung Taek KANG ; Suk Hee YU ; Byung Jik LEE
Korean Journal of Nephrology 1992;11(4):351-358
No abstract available.
Hemorrhagic Fever with Renal Syndrome*
;
Humans
;
Proteinuria*
8.Clinical Manifestations and Perinatal Outcomes in Pregnancies with Fetal Dysplastic Kidney Disease.
Kie Suk OH ; Haeng Soo KIM ; Jeong In YANG ; Joon Hwan OH ; Seung Seop KEUM
Korean Journal of Obstetrics and Gynecology 2000;43(1):43-50
OBJECTIVE: To obtain clinically useful data regarding prenatal diagnosis, proper antepartum counseling and obstetric management in pregnancies with fetal dysplastic kidney disease. METHODS: We retrospectively reviewed 13 cases of MCDK(Multicystic dysplastic kidney) and PCDK(Polycystic dysplastic kidney), diagnosed by antenatal ultrasound and delivered from June 1994 through July 1999 at Ajou University School of Medicine, Department of Obstetrics and Gynecology, with regard to prenatal ultrasonographic findings, perinatal outcomes, maternal complications and associated fetal anomalies. RESULTS: The incidence of MCDK and PCDK was one in 1,066 and one in 2,398 births, respectively. Of the 9 cases of MCDK, one case was terminated due to severely associated anomaly, and 6 cases were delivered by spontaneous labor or pitocin induction at term, of which 1 case was delivered by pitocin induction at 36 weeks gestation due to intrauterine fetal death. Two cases were delivered by cesarean section. There were no neonatal deaths in 7 cases of MCDK and they have been followed up to date, and alive. Of the 4 cases of PCDK, 3 cases were terminated by induced abortion or induced vaginal delivery, and 1 case was delivered by cesarean section, which was combined with hypertrophic cardiomyopathy, and the baby died within 24 hours after birth. Perinatal complications consisted of small for gestational age, urinary tract infection, hydronephrosis, acute respiratory failure, acute renal failure, periventricular hemorrhage and laryngomalacia in the neonatal period. CONCLUSION: It is suggested that antenatal ultrasonography and genetic analysis to evaluate accurate diagnosis and associated anomalies should be performed to manage and councel properly the pregnancies with fetal dysplastic kidney disease.
Abortion, Induced
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Acute Kidney Injury
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Cardiomyopathy, Hypertrophic
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Cesarean Section
;
Counseling
;
Diagnosis
;
Female
;
Fetal Death
;
Gestational Age
;
Gynecology
;
Hemorrhage
;
Humans
;
Hydronephrosis
;
Incidence
;
Kidney Diseases*
;
Kidney*
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Laryngomalacia
;
Obstetrics
;
Oxytocin
;
Parturition
;
Pregnancy*
;
Prenatal Diagnosis
;
Respiratory Insufficiency
;
Retrospective Studies
;
Ultrasonography
;
Urinary Tract Infections
9.A Retrospective Study Comparing Clinical Characteristics between.
Jeong Soo LIM ; Chang Yong SOHN ; Ok Suk BAE
Journal of the Korean Society of Coloproctology 1999;15(3):219-226
PURPOSE: This study was undertaken to obtain better clinical insights and therapeutic approaches to the diverticular diseases of the colon by identifying the clinical characteristics of the right and left colonic diverticular diseases. METHODS: A retrospective analysis was made of 68 colonic diverticular patients treated between August of 1986 and July of 1997. Right colonic diverticular disease was present in 55 patients, left side disease in eight patients, and bilateral disease in five patients. According to the location of the colonic diverticular disease, various clinical parameters such as the nature of the diverticula, age and sex, diagnostic accuracy, and methods of treatment were assessed. RESULTS: The average age of 68 patients in this study was 50.94 years. Fifty two patients were male and sixteen were female. The disease was far more common in the right colon (80.9%) than the left colon (11.7%) and the right colonic diverticular disease was the most common source of confusion in diagnosis from acute appendicitis. Conservative management was tried in 30 of 35 patients above age 50 and obtained a good result without any complication. CONCLUSIONS: There has been a tendency toward increased incidence of annual colonic diverticular diseases in this study. The right colonic diverticular disease was far more common than the left side disease and the disease was more common in the male. In patients above age 50, initial conservative management is a reasonable approach, although early surgical exploration might be better in younger patients. Acute appendicitis should be ruled out before any treatment decision was made.
Appendicitis
;
Colon
;
Diagnosis
;
Diverticulum
;
Female
;
Humans
;
Incidence
;
Male
;
Retrospective Studies*
10.Bullae and Sweet Gland Necrosis Concurrent with Nontraumatic Rhabdomyolysis in a Non-comatose Patient after Alcohol and Drug Intoxication.
Hyun Chul PARK ; Hyun Soo ROH ; Jeong Eun KIM ; Joo Yeon KO ; Young Suk RO
Korean Journal of Dermatology 2012;50(10):925-927
No abstract available.
Blister
;
Humans
;
Necrosis
;
Rhabdomyolysis